Hospital Costs > Simple Pneumonia & Pleurisy W/O Cc/Mcc > Simple Pneumonia & Pleurisy W/O Cc/Mcc - costs for treatment in New Mexico
| Hospital | City | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|---|---|
| Presbyterian Hospital | Albuquerque | 55 | $16,583.10 | $6,243.11 | $4,533.98 |
| Gallup Indian Medical Center | Gallup | 49 | $8,715.75 | $7,227.41 | $6,266.75 |
| San Juan Regional Medical Center | Farmington | 43 | $16,667.30 | $5,426.65 | $4,285.37 |
| Mountain View Regional Medical Center | Las Cruces | 41 | $20,423.50 | $4,533.44 | $3,501.63 |
| Memorial Medical Center Inc | Las Cruces | 36 | $20,508.50 | $5,602.58 | $4,433.47 |
| Northern Navajo Medical Center | Shiprock | 30 | $6,976.33 | $9,601.53 | $8,551.93 |
| Presbyterian Espanola Hospital | Espanola | 30 | $19,096.40 | $6,270.60 | $5,265.80 |
| Carlsbad Medical Center | Carlsbad | 29 | $30,960.70 | $4,531.93 | $3,366.69 |
| Alta Vista Regional Hospital | Las Vegas | 26 | $28,271.80 | $5,324.38 | $3,950.35 |
| Holy Cross Hospital A Div Of Taos Health Systems | Taos | 21 | $11,467.40 | $6,390.00 | $4,986.43 |
| Crownpoint Healthcare Facility | Crownpoint | 18 | $6,116.39 | $7,218.78 | $6,207.22 |
| St Vincent Hospital Santa Fe | Santa Fe | 18 | $14,647.00 | $5,945.17 | $4,750.83 |
| Artesia General Hospital | Artesia | 17 | $23,156.80 | $5,606.06 | $4,416.41 |
| Plains Regional Medical Center | Clovis | 16 | $18,869.40 | $5,380.50 | $4,248.50 |
| Lovelace Medical Center | Albuquerque | 14 | $26,618.90 | $4,634.64 | $3,669.79 |
| Roosevelt General Hospital | Portales | 14 | $15,093.40 | $4,905.43 | $4,132.86 |
| Eastern New Mexico Medical Center | Roswell | 13 | $32,543.40 | $4,924.00 | $3,904.92 |
| Gila Regional Medical Center | Silver City | 13 | $14,932.20 | $4,760.08 | $3,637.62 |
| Lovelace Regional Hospital - Roswell | Roswell | 13 | $25,110.00 | $4,387.85 | $3,272.77 |
| Rehoboth Mckinley Christian Health Care Services | Gallup | 12 | $7,429.67 | $4,894.83 | $3,604.67 |
| Unm Hospital | Albuquerque | 11 | $12,832.10 | $10,426.10 | $7,784.00 | Total 21 hospitals | 519 |
Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014
Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration
Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.